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Complementary feeding methods in the first year of life: a study protocol for a randomized clinical trial
Leandro Meirelles Nunes1,2, Jordana Führ1, Christy Hannah Sanini Belin1
1Graduate Program in Child and Adolescent Health, Universidade Federal do Rio Grande do Sul (UFRGS) Medical School, Porto Alegre, Brazil.
Trials
|October 10, 2021
Summary
This study compares traditional spoon-feeding with Baby-Led Introduction to SolidS (BLISS) in Brazil. It evaluates infant growth, nutritional status, and feeding behaviors to inform families and healthcare providers.
Area of Science:
- Pediatrics
- Nutrition Science
- Public Health
Background:
- Traditional spoon-feeding is the consensus approach for infant complementary feeding.
- Baby-Led Introduction to SolidS (BLISS) offers an alternative self-feeding method.
- No trials have evaluated BLISS in the Brazilian population.
Purpose of the Study:
- To compare the effectiveness of three complementary feeding methods: Parent-Led Weaning, Baby-Led Introduction to SolidS (BLISS), and a mixed method.
- To assess infant growth, nutritional status, and feeding behaviors in a Brazilian cohort.
- To provide data supporting families and healthcare providers in choosing complementary feeding strategies.
Main Methods:
- 144 mother-child pairs randomized into three groups (Parent-Led Weaning, BLISS, mixed method).
- Interventions conducted by nutritionists and speech therapists starting at 5.5 months.
- Follow-up at 7, 9, and 12 months with questionnaires, dietary recalls, and clinical assessments (including blood tests for iron status).
Main Results:
- Primary outcome: child growth and nutritional status z-scores at 12 months.
- Secondary outcomes: iron status, feeding behaviors, dietary variety, choking incidents, and oral health.
- Data collection includes anthropometry, food recalls, eating behavior questionnaires, and clinical examinations.
Conclusions:
- The trial aims to determine potential advantages of the BLISS method in the Brazilian context.
- Findings will generate evidence to guide infant feeding practices.
- The study will contribute valuable data for families and healthcare professionals in Brazil.
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